Inspection on 04/01/06 for Eldon House

This inspection was carried out on 4th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Eldon House 09/02/10

Eldon House 14/07/09

Eldon House 26/07/07

Eldon House 29/08/06

Eldon House 06/07/05

Eldon House 04/03/05

Eldon House 13/09/04

Eldon House 29/02/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Eldon House 69 Ricardo Street Dresden Stoke-on-trent Staffordshire ST3 4EX Lead Inspector Peter Dawson Unannounced Inspection 4th January 2006 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Eldon House Address 69 Ricardo Street Dresden Stoke-on-trent Staffordshire ST3 4EX 01782 326620 01782 313633 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Eldon House Care Services Ltd Mrs Susan Ibbs Care Home 34 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (34), of places Physical disability (4), Physical disability over 65 years of age (12) Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 4 - PD over 60 years Date of last inspection 6th July 2005 Brief Description of the Service: Eldon House is registered to provide personal care and support for up to 34 people. Of these 6 may require dementia care, 12 may have a physical disability and 4 people may be under the age of 65 years. The home is located in Dresden, close to Longton town centre which is easily accessible. There is easy access by public transport. The home is located in an area of old and new properties, local shops and amenities are close by. There is parking to the rear of the property. The home comprises a large detached Victorian property and a single storey extension added some years ago. Accommodation is on 3 floors: Lower ground floor with several bedrooms, the ground floor where there are 3 lounge areas, dining room, kitchen and offices. Most of the bedrooms are located on this floor. The first floor provides further bedroom accommodation. All rooms are for single use with the exception of 1 which is used as a double bedroom for a couple. There are 8 en-suite bedrooms. Assisted bathrooms and toilet areas including shower room are located on each of the 3 floors. The laundry is located in a Porta Cabin to the rear of the property and has good facilities. There is a well-kept garden to the front of the home with good seating facilities and much used in the summer months. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. At the time of this unannounced inspection there were 34 people in residence and no vacancies. Most residents were seen and a proportion spoken to separately and together in the lounge areas or privacy of bedrooms. The Registered Manager, Deputy Manager and Proprietor were all involved in discussions with the inspector. Other staff were spoken to briefly. Two visitors were seen and both expressed their satisfaction with the care provided at Eldon House. One indicated her relative had been helped to settle well into the home in difficult circumstances and felt that she had made some progress. Residents spoken to talked with enthusiasm about the Christmas festivities which had taken place at the home. They stated they were well cared for and had no hesitation is speaking warmly and openly about the attention and service they received from a caring staff group. Residents engaged openly and in a relaxed way with senior staff and the proprietor in discussions during the inspection. There is clearly an open management style – residents able to voice their opinions directly to the providers. There was a tour of the physical environment, which is homely and comfortable and well maintained by the proprietor who has a daily input into the home. There is an ongoing programme of redecoration/refurbishment, senior staff stated that items of equipment required were provided without question. What the service does well: Well maintained environment preserving its Victorian attractiveness. Good staff awareness of health care issues with no pressure area management problems. Residents supported through serious medical treatments/conditions. Strong management team – proprietor involved on a daily basis, Registered Manager, Director of Care and Deputy Manager have a very positive input into the home. Residents have direct daily access to managers. Food provision is good with staggered mealtimes, resulting in relaxed and enjoyable mealtimes without pressure. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 6 Chosen lifestyles accommodated, many residents spend time in their bedrooms during the day which is their preference. No complaints made about the home over the past 2 years. Consistent high occupancy rates (sometimes with small waiting list) confirm the standing of the home in the community and with professionals. What has improved since the last inspection? What they could do better: A requirement of the last report to provide instructions and training for staff to prevent service users being harmed, suffering abuse, or being place at risk or harm or abuse as required under Regulation 13(6) has not been actioned. The timescale for action was 31.8.05. This has not been done and is a further requirement of this report. It is vital that this requirement is actioned immediately to ensure the protection of residents. A previous incident in the home highlighted the inadequacies of the present system for early reporting and accurate recording of vulnerable adults issues. All residents must be weighed monthly. Where there are concerns about weight loss they must be weighed weekly. This has been a requirement of a previous report and is further requirement of this report. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 7 Moving & Handling training must be provided for all staff as soon as possible. Improvements in the daily recording relating to all residents could be improved and the home intends to revise the system for recording this. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1–5 Standards relating to Choice of Home were met. EVIDENCE: There is a statement of purpose/service users guide available in the home for reference by present and prospective service users and their relatives. This information was recently updated. There is a copy contract with the statement of purpose. Most residents are funded by Local Authorities and contracts are provided for those residents which they sign and copy. A similar document is provided by the home for self-funding residents. Assessments are undertaken by Care Management in virtually all instances prior to admission, it was pleasing to see that a Care Management Assessment had been provided for a recently admitted self-funding resident. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 10 All prospective residents are assessed prior to admission by the Manager or Deputy. There was evidence of assessments being completed in relation to recently admitted residents whose records were inspected. The homes capacity to meet needs are defined in the statement of purpose, checked as part of the pre-admission assessments and discussed with residents and relatives at he point of admission and in the subsequent review of placement after 6 weeks. Where possible residents are encouraged to visit the home prior to admission, in some instances this is not possible, but always relatives visit the home prior to admission for discussions and the resident always seen in their current environment prior to admission. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7`- 11 There is a good standard of care planning and information in place, daily recording is being revised as mentioned in the previous report. Health care awareness is high and generally well documented. It is important that all residents are weighed monthly and weekly for those with weight loss concerns. The medication system in the home is safe. Returns to the pharmacy are countersigned and the medication system checked annually by the Pharmacy. EVIDENCE: A sample of care plans were inspected relating too recently admitted and other residents. Adequate information had been provided in relation to new residents, including Care Management Assessments and the homes own assessment prior to admission. Care plans were based upon this information and extended and reviewed as the placement progresses. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 12 There was evidence of input from relatives/residents. The home does not keep the Care Management Assessment as part of the care planning information (it is kept separately) and it was found that some important relevant medical information was not known/recorded in the care plan. The home felt the Assessment should be kept separately for reasons of confidentiality but all information is subject to the same security/confidentiality rules and the information should be available with care planning information. There are regular reviews of all care plans by senior staff who read, consider and review on a monthly basis. There was good information relating to social history with a summary of history of each resident. There was some duplication of daily recording for residents. This was discussed with the Manager and Deputy Manager who will change the recording system to avoid duplication and provide ongoing and ultimate record of the daily care provided. The home has a good record of attention to health care issues, with early identification of changing needs and appropriate action being taken. There are no pressure area management issues in the home at this time and there are assessments in place for those at risk. The district nursing service are visiting presently only for the usual checks. Several residents are quite dependent around 5 requiring 2 staff for all personal care. No one is presently bedfast. At the time of the last inspection a resident who was bedfast and totally dependent has made remarkable progress is now sitting in the lounge daily and her dependency level vastly reduced. Two residents have been under Consultant care for major surgery. They are now discharged having been supported well by the home and recovered well. It was noted in care plans sampled that a resident with weight loss had not been weighed at least monthly. All residents must be weighed monthly and where there are concerns about weight loss they must be weighed weekly to ensure adequate monitoring. This is a requirement of this report. Five people are currently assessed as requiring dementia care. A recently admitted resident falls into that category completing the maximum number in that category. The home do not have category to admit residents with mental health needs and are presently considering appropriate staff training with a view to making application to the Commission for additional MD category. Medication was part inspected and appeared satisfactory. There were large stocks of analgesics which the home will take steps to reduce. There is a policy relating to dying and death and this was discussed in the context of deaths in the home since the last inspection. The principles being clearly applied to both resident and relative. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 - 15 Standards relating to Daily Life and Social Activities were found to be met. Residents expressed satisfaction with their lifestyle and the flexibility of routines to accommodate them. Food provisions is traditionally good in this home, the mid-day meal seen served confirmed this. EVIDENCE: Evidence of chosen lifestyles were indicated in the staggered rising times and mealtimes. Some residents were seen in their bedrooms during the morning of the inspection and clearly have their preferred routines of spending time in their rooms if they wish. One resident seen said he liked to spend the morning in his bedroom reading the newspaper, checking the racing form prior to placing his bets at local bookmaker. He listens to music, watches TV etc throughout the day as he wishes. A good example of chosen lifestyle being accommodated. There were other examples. A recently admitted resident who had led a reclusive-type life at home was clearly enjoying spending time in the lounge and being able to socialise. Several residents have telephones installed in bedrooms. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 14 Visitors are welcomed into the home and there were observed good rapport/relationships with staff upon arrival and departure. The home keeps relatives well informed about any changes in the needs of residents, this was confirmed by a visiting relative. Activities are provided and regular entertainment brought into the home. Residents confirmed this and spoke about the many events within the home over the Christmas period. Relatives had been invited to parties also. A resident said they had all had a Christmas present from the home and there was an abundance of food as usual, but also lots of Christmas Fayre too. The garden area to the front of the home is used extensively during the summer months with good seating and eating facilities for BarBQ’s etc. Library services are accessed, the home provides 4 local and 4 evening newspapers. Clergy visit the home regularly and some residents attend church weekly. There is a staggered meal service which is excellent. There are 2 sittings for all meals allowing residents to eat and enjoy the social aspects of mealtimes without any pressure. The separate sittings also allow individual assistance with eating in a relaxed and dignified way for the more dependent residents. The system works very well. The kitchen was inspected earlier in the year by the EHO and no major requirements were made. A new cook has been in post for 2 months with considerable experience in similar settings. There is a choice of food at all mealtimes. Residents spoken to said they were very satisfied with the food provided at Eldon House. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 - 18 The complaints procedure is in place and is satisfactory. A further requirement is made for the provider to provide training and instructions to staff concerning the reporting of abuse. All staff must be given a copy of the procedures and sign to confirm them have received and understood them. EVIDENCE: There is a complaints procedure posted in the reception area of the home for residents and visitors. This complies with requirements under Regulation 22. The complaints procedure is clear and concise. No complaints have been received by the home or by the Commission since the last inspection. There were concerns at the time of the last inspection concerning the adequate documentation and reporting of a vulnerable adults incident in the home. A requirement was made to address this issue but this has not been actioned within the given timescale. This must be done as a matter or urgency. It is a further requirement in this report that the registered person must provide training and clear instructions to staff in relation to the broad definitions of base and the procedures for reporting suspected or actual abuse. This will ensure residents are protected from risk, harm or abuse in accordance with Regulation 13(6). Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 - 26 The environment is to a good standard and is well maintained. There is an ongoing redecoration/replacement programme. The home is comfortable and homely and retains much of its original Victorian character. Generally a good, homely comfortable environment. Standards relation to the environment were met. EVIDENCE: Accommodation is on 3 floors with life and stair access to all floors. There are also 2 stair lifts to access the first floor. Corridors are generally wide, allowing good wheelchair access. Wheelchair users and located only on the ground floor and there is good access to bathroom/toilets in that area. One bathroom has recently been converted into a shower room. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 17 There is an ongoing redecoration/replacement programme. Since the last inspection 2 bedrooms have been redecorated and re-carpeted. Two cookers provided in the kitchen area and the washer and dryer replaced. The floor covering in the first floor bathroom has been replaced with special carpet. The provider has a good record of maintenance of the home and Managers report that all requests for equipment or replacements are actioned by the proprietor without question. Radiator guards are fitted to most communal areas following risk assessment. New locks have been fitted to most bedroom doors, approved by the Fire Officer. Most bedrooms have a lockable facility for valuables/medication. Hand and grab rails are located as appropriate with toileting aids in place. The home does not have a hoist although one was recently supplied by the nursing service for a very dependent resident who has since died. Staff training was provided for its use. Two residents currently require 2 staff to move her. The home would purchase a hoist if required but feel the present arrangements are adequate and preferred which are of course risk assessed. A sample of bedrooms indicated a high level of personalisation and reflected the individuality of residents. There were mal-odours in 2 bedrooms at the time of the last inspection although there had been regular cleaning routines to eliminate them. A deepcleaning machine has been purchased and the carpet replaced in one room and there was no evidence of mal-odours during this inspection. The home is clean and pleasant. Hygiene standards are good with cleaning routines in place observed during the inspection. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 – 30 The numbers and skill mix of staff is satisfactory. Staff training is required in Moving & Handling and further training in dementia care also necessary. The requirement of 50 of NVQ trained staff by 2005 has been met. EVIDENCE: The staffing level of the home is as follows: 7.30 – 2.30 4 members of staff. 2.30 – 10pm 3 members of staff Nights 10 – 8 2 waking night care staff plus Managers on call to assist if required. There is always a senior carer on duty throughout the 24-hour period. In addition to the above the Director of Care and Registered Manager work full time in the home working at various times over the 7 day period. The total of 522 care hours per week (Plus 2 Managers above) are maintained. Additionally there are catering, domestic and laundry staff providing 92 hours of cover per week. The staffing levels appear adequate for the present perceived needs of the resident group. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 19 Staff records were not inspected on this visit. The last report highlighted the need for staff training in Moving & Handling, this is for new staff and updates for existing staff. This has not been arranged and is now urgent for all staff. This is a requirement of this report. There are 16 care staff – 9 have obtained NVQ2 or above. Other staff are presently involved in NVQ study. The home meets the requirement by 2005, to provide 50 of trained NVQ staff. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31-33 and 36 - 38 There was evidence of good management . The home serves the best interests of residents. Some improvements could be made in the area of recording of daily information. Moving & Handling training must be updated for all staff. EVIDENCE: The Registered Manager has the required experience to run the home and also completed the NVQ4/Registered Managers Award as required. The proprietor and director of care have a daily presence in the home and support the work of the Registered Manager. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 21 There is a relaxed atmosphere in the home and good working relationships between the Proprietor and Senior Staff. Residents know the proprietor well as he is a daily visitor and therefore have direct access to him as well as other senior staff. Financial procedures relating to the home and to residents finances were not inspected on this visit. There is regular supervision for all staff at least 6 times per year. Records seen were to a good professional standard. Areas of recording which could be improved were the daily notes for all residents and advice was given about this. Fire records were not inspected on this visit. All staff had fire training provided by Staffordshire Fire Service on 29.5.05. Moving and Handling training must be provided for all staff and updated on an annual basis for those who have already had training. Risk assessments were in place in relation to resident activity and the building and fire. Reportable incidents under Regulation 37 have been received since the last inspection. Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x x 3 3 2 Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 31/01/06 1. OP18 13(6) 2. 3 OP30 OP8 13(5) 12(1) The Registered person must provide instructions and training for staff to prevent Service users being harmed, suffering abuse, or being place at risk of harm or abuse. - Previous timescale not met. Moving & Handling training must be provided for all staff. All residents must be weighed monthly. Where there are concerns about weight loss this must be weekly. 31/01/06 04/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Eldon House DS0000008224.V276391.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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